Individual
DR. KATHRYN FOLLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6812 STATE ROUTE 162, SUITE 204, MARYVILLE, IL 62062-8553
(618) 288-6464
(618) 288-6465
Mailing address
6810 STATE ROUTE 162, BOX 215, MARYVILLE, IL 62062-8501
(618) 391-6405
(618) 288-4088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036089478
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089478
—
IL
Enumeration date
10/05/2006
Last updated
01/17/2013
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